Birth Support Request

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Please fill out the form below and I will be in touch. I aim for a response time within 24 hours, but may take up to 48 hours if I am supporting a client.

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電子郵件 *

Name *

Due date *

YYYY

Pregnancy Provider (name of midwife or OB/family doctor *

Where do you hope to give birth (if you have midwives)?

Is this your first birth?

Yes

其他：

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How would you like me to follow up with you? Please include your preferred email or phone number below. If you would like to be contacted via phone, please indicate if you would prefer I reach out via a phone call or text message.

Which birth support package are you interested in? *

The Beginning, Birth & Beyond Package

The Goldilocks Birth Package

The Minimalist Birth Package

The Caesarean Birth Package

The Choose Your Own Adventure Package

I'm

Is there anything else you would like me to know?

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